Jena Marie Lopez in Mount Vernon - General Practice

Jena Marie Lopez - NPI 1386607612

Jena Marie Lopez is a General Practice in Mount Vernon, Washington. Jena Marie Lopez practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jena Marie Lopez is 1386607612. The last update date is 2016-03-17.

Jena Marie Lopez's current location address is 1415 E Kincaid Street, Mount Vernon, Washington. You can contact this provider via phone number 3604244111. The mailing address for Jena Marie Lopez is 1415 E Kincaid Street, Mount Vernon, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Jena Marie Lopez
Address 1415 E Kincaid Street, Mount Vernon, Washington
Phone Number 3604244111
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1386607612
Provider Enumeration Date 2006-04-08
Last Updated Date 2016-03-17

Provider Mailing Address Detail

Address 1415 E Kincaid Street
City Mount Vernon
State Washington (WA)
Post Code 982744126
Phone Number 3604244111
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No MD00048855
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8509226 WA --

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FAQs about Jena Marie Lopez

What is the unique 10-digit identification code assigned to Jena Marie Lopez by the Centers for Medicare & Medicaid Services?

The Jena Marie Lopez has been issued the NPI (National Provider Identifier) 1386607612, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Jena Marie Lopez?

The Jena Marie Lopez is physically situated at 1415 E Kincaid Street, in the city of Mount Vernon, state of WA, with the postal code 982744126.

What is Jena Marie Lopez's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jena Marie Lopez's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.

On what date did Jena Marie Lopez receive its 1386607612 assignment from the Centers for Medicare & Medicaid Services?

The Jena Marie Lopez was assigned its 1386607612 on 2006-04-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Jena Marie Lopez most recently updated or revised?

The details related to Jena Marie Lopez, including its address, specialty, and other relevant information, were last updated or revised on 2016-03-17.

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